Welcome New Providers
We are excited to work with you to deliver quality care to our members – your patients – to ensure they have the best possible healthcare experience. Providing exceptional member satisfaction and operational excellence are top priorities for Buckeye. Our goal is to become your trusted partner in caring for our most vulnerable population. We believe in being easy to work with, so we’ve created a this customized page with everything you need to get started, all in one place.
Natalie Lukaszewicz
Vice President, Network Development and Contracting
Provider Home Page
For All Products
To ensure we make our providers aware of the latest updates and key information, how to contact us and access to our secure provider portal, we maintain our Provider Home Page. On this continuously updated page, you’ll also find the website main menu to take you wherever you want to go. Be sure to bookmark this page as your entry point to the Buckeye website and portal.
Find Your Provider Engagement Administrator
For All Products
While our excellent Provider Services are available to answer your everyday questions, if you need special attention for an issue, reach out to your assigned Provider Engagement Administrator. Access our Provider Engagement Administrator to find yours.
Provider Communications and Updates
For All Products
Provider Important Notices
New announcements and activities
Provider Updates - chronologically
Updates to established policies and procedures.
Provider Update Newsletter & Archive
This is our communications workhorse. Every effort is made to send ONE monthly newsletter to all providers that includes all notices, updates, features and other information needed to do business with Buckeye. Be sure to sign up to receive our monthly Provider Update Newsletter.
Claims Information
Medicaid Claims submission information:
Please see our Provider General Billing Information and Guidelines within the Provider Manual.
Claims Payment Policies Medicaid
Portal Login
For All Products
Once you have created an account, you can use the Buckeye Health Plan provider portal to:
- Verify member eligibility
- Manage claims
- Manage authorizations
- View patient list
- Login/Register
Provider Services & Resources
Medicaid
Provider Services Phone Number
Provider Resources
Member Website Information
Member Services: 866.246.4358
Member ID Cards
MyCare
Provider Services Phone Number
Provider Resources
Member Website
Member Services: 866.246.4358
Member ID Cards
Medicare
Provider Services Phone Number
Provider Resources
Member Website Information
Member Services
Member ID Cards
Ambetter
Provider Services Phone Number
Provider Resources
Member Website Information
Member Services: 8am-8pm EST at 877.687.1189
Member ID Cards
Pharmacy
For All Products
Buckeye Health Plan is committed to providing appropriate, high-quality, and cost-effective drug therapy to all Buckeye Health Plan members. See our Pharmacy website page for details.
- The Preferred Drug List (PDL)
- ODM Pharmacy Website
- Prior Authorization Information
- Other Pharmacy Resources